Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elgerene Monique Ridderheim, NP

Individual provider Nurse Practitioner · NPI 1750871687

Elgerene Monique Ridderheim, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6279 E State Blvd
Fort Wayne, IN 46815-7641
Phone: (260) 492-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9821 Lima Rd Ste 103, Fort Wayne, IN 46818-9281 — (260) 234-5400
  • 11050 Parkview Circle Dr, Fort Wayne, IN 46845 — (833) 724-8326

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008116A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71008116A (IN)

Record details

NPI number1750871687
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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